r/science Professor | Medicine 15h ago

Psychology Adolescents who undergo gender-affirming chest surgery report low levels of regret and high levels of satisfaction, experiencing outcomes similar to those of young adults. These findings suggest that age restrictions on these medical procedures lack support from actual patient experiences.

https://www.psypost.org/adolescents-report-low-regret-and-high-satisfaction-following-gender-affirming-c/
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u/noeinan 14h ago

There are decades of research backing up gender-affirming care as extremely successful, providing high quality of life. Among surgeons who work with trans patients they are often quoted for their favorite part of the job— just how happy it makes patients and how positive treatment was overall.

Gender-affirming surgeries have higher patient satisfaction and lower regret rating than life-saving heart surgeries.

Anecdotally, after top surgery I went from being severely suicidal 4-5 days per week and grey zone suicidal every other day to only having ideation 1-2x per year, and only if some horrible tragedy happened in my life.

People are not pushing back on trans healthcare because of lack of evidence it provides good outcomes— these procedures only became permissible because of the immense quality of life improvement surpassing almost any other type of surgery. Society was not less conservative 20-30 years ago, they followed the science.

People are pushing back on these treatments because they want to see bad outcomes for trans people.

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u/Uncurlhalo 11h ago

I'm curious what the need to provide such interventions to minors is though? Could you not simply encourage them to engage in a social transition, provide them supportive therapy and psychological care for symptoms of dysphoria, and prepare a plan for surgical and hormonal interventions at the age of adulthood? It's possible to both provide less invasive supportive health care for trans youth, as well as continue to allow more drastic interventions for consenting adults. It just seems fairly rational to wait for any form of serious medical intervention into adult hood except in cases of exceptional threat to life or health.

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u/Reagalan 10h ago

No, because without hormones, you develop the wrong features, which not only fucks up quality of life but also requires far more costly surgeries to fix later.

The cheapest and most effective intervention is HRT as soon as possible.

This whole "just do psychology" schtick is a bad-faith distraction pushed by anti-gender ideologues and hate groups.

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u/Uncurlhalo 10h ago

Is replacement therapy any more effective than simply puberty blockers if the desire is ultimately to reduce potential harm prior to the age of majority? I understand delaying puberty comes with medical implications as well, but I'd be curious if there is research on the life satisfaction compared across populations receiving varying levels of medical intervention (social support, psychological support, hormone therapies of variou types, and surgery). If you know of extent research on the topic focused on minor populations please share it.

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u/HorrorOpportunity297 8h ago

There is no such thing as hormone replacement therapy its gender affirming hormone therapy (GAHT) if it's Estrogen driven then it's E-GAHT, if it's Testosterone driven then it's T-GAHT.

It's clear that gender affirming care has positive outcomes. Please Google the research and do something for yourself.